HomeMy WebLinkAboutSEWAGE TREATMENT & DISPOSALSTATE OF FL(..ctJA
DEPARTMENT OF HEALTH .
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT SPA
St By
4uc e County
CONSTRUCTION PERMIT FOR: OSTDS Abandonment
APPLICANT- MarySCheider -
PROPERTY ADDRESS: 305 SE Camino Ct Part Saint Lucie, FL 34952
LOT: 27 BLOCK: 28 SUBDIVISION: River Park
PERMLT #:56-SF-1303514
APPLICATION #: AP995536
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR836822
PROPERTY ID #: 341951502160003 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER] -
SYSTEM MOST BE CONSTRUCTED .IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTIO
-
381.0065, E.S., AND CHAPTER 69E-6, F.A.C. DEPARTMENT. APPROVAL OF SYSTEM DOES NOT GUARANTEEE ' 1,
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, ,
WHICR___SERVED AS, A BASIS FOR. ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT -.TO -MODIFY_ THE _
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID."
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER; , !FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [
A [
N [
K [
900 ] GALLONS / GPD
] GALLONS/ GPD
] GALLONS GREASE INTERCEPTOR CAPACITY
] GALLONS DOSING TANK CAPACITY [
CAPACITY
CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS)
]GALLONS @[ ]DOSES PER 24 Has #PUMPS [
D [ ] SQUARE FEET SYSTEM
R [.' ]_,SQUARE FEET SYSTEM
A TYPE SYSTEM-- [ ] STANDARD [ ] FILLED [) MOUND
E
I CONFIGURATION: [ ] TRENCH I ) BED I ]
N
F LOCATION OF BENCHMARK: NIA' -
I ELEVATION OF PROPOSED SYSTEM SITE [ ][ / ][ABOVE/ BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ ][ / ][ABOVE/ BELOW] BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ ] INCHES
I
O Have the tank abandoned in accordance with the following procedures:
T - (a) T1ietank shall be pumped out. -
(b) The bottom of the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank k6rn retaining
H water
E - -I(c) Have the system inspected by the health department after it has been pumped and ruptured but before His filled with
:� sand and covered and
R- (d) The tank shall be filled with dean sand or other suitable material, and completely covered with soil.
BY: James C Duncan TITLE: Environmental Specialist II
)
APPROVED: BY: TITLE: Environmental Specialist II St. Lucie
*A" amen mean CHD
�i
DATE ISSUED: 03/02/2011 EXPIRATION DATE: 05/3112011
S ,^
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC - Page 1 0£ 3
v 1.1.4 AP995536 SE-1 `